Clean Days Kickoff: April 22, 2020

If you are a parent bringing a child, register yourself first and then register your child separately (as a member of your team).

*First Name
*Last Name
If you are registering as part of a team please enter your team name
Are you the team captainNoYes
If you are the team captain please answer the next two questions. Otherwise, please skip down to the question about your age.
Age Range of Your Team
How many people do you expect to have on your team?
Please encourage your team members to register online individually, if they can. Make sure to provide them with the correct team name to enter so we know they are part of your team.

Your Age Child (Under 10)Youth/Teen (10-17)Adult (18+)Senior
Company/Organization
*Email Address
Mailing Address

City
State
ZIP Code
*Phone Number
How did you hear about Clean Days? —Please choose an option—BannersFlyer or PosterFacebookEmailWRWC WebsiteNewspaperWord of MouthOther (Enter Below)
If you selected "other" please tell us where you heard about Clean Days:
Please Use this space for any comments you may have.

All volunteers must sign the WRWC's individual liability waiver and provide emergency contact information below. Clicking below signs for individuals only. If you represent a group you may either 1) have individuals pre-register themselves online and join your group, clicking to sign their own waivers, or 2) print waivers to have your group sign ahead of time and bring to the event.

By clicking this box I certify that I have read and that I accept WRWC's liability waiver and if this registration is for someone under 18 I further certify that I am agreeing to indemnify and hold harmless the Council from any and all claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor.

I Accept

if this registration is for someone under 18 please answer the next two questions. Otherwise, please skip down to the section about emergency contacts.
Parent or legal guardian's name:
Please indicate if you or your child has any allergies to insects, plants or medication:

*Emergency Contact Name:
*Emergency Contact Telephone: